Surgical approach of ectopic maxillary third molar avulsion: Systematic review and meta-analysis

Courtot, Romain; Devoize, Laurent; Louvrier, Aurélien; Pereira, Bruno; Caillet, Julia; Meyer, Christophe; Barthélémy, Isabelle; Depeyre, Arnaud

doi:10.1016/j.jormas.2020.06.015

Cited by 9 publications

(9 citation statements)

References 33 publications

(23 reference statements)

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“…Furthermore, it seems to be superior to the palatal flap, and the rare cases of failure usually involved smokers, and the fistulas occurring lately (el-Hakim & el-Fakharany 1999;Jain, Ramesh, Sankar, & Lokesh Babu, 2012;Nezafati, Vafaii, & Ghojazadeh, 2012). Although Caldwel Luc access is a traditional approach for the removal of teeth or foreign bodies in the maxillary sinus, in this case, the use of the present oroantral communication avoided additional ostectomy in an intact maxillary sinus wall, solving a surgical complication in just one surgical time (Ramanojam, Halli, Thakur et al, 2011;Hebbale & Bhardwaj, 2013;Courtot et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Intra-sinus complex odontoma management simultaneously to oroantral communication closure: Why remove it?

Rodrigues

Schueng

Mendes

et al. 2021

RSD

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The oroantral communication is considered one of the most frequent complications in oral surgery, especially in extractions of posterior teeth in the maxilla, treatment of cystic lesions, neoplasms, osteomyelitis and trauma in the region of the maxillary sinus, forming fistulas. However, ectopic third molar and lesions such as odontomas are rarely found simultaneously in the maxillary sinus. This report shows a successful treatment performed in a specific case of oroantral communication, associated to an underdiagnosed complex odontoma and an impacted ectopic third molar into the maxillary sinus and discuss the requirement of intervention. The treatment strategy involved clinical and surgical management through the oroantral communication, avoiding additional bone access to the maxillary sinus. This proposal presented a satisfactory result, and at six months after surgery, the patient has an excellent evolution, proving to be a successful strategy.

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Section: Discussionmentioning

confidence: 99%

Intra-sinus complex odontoma management simultaneously to oroantral communication closure: Why remove it?

Rodrigues

Schueng

Mendes

et al. 2021

RSD

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“…Before the advent of endoscopy in the early 1990s, the standard treatment was Caldwell‐Luc's operation 4 . However, postoperative complications were reported as cheek oedema, infraorbital nerve injury, neuralgias, dental pain and oroantral fistula 7 .…”

Section: Discussionmentioning

confidence: 99%

“…However, postoperative complications were reported as cheek oedema, infraorbital nerve injury, neuralgias, dental pain and oroantral fistula 7 . After the advent of endoscopic surgery, endoscopic procedures have been introduced for the management of dentigerous cysts 4 …”

Section: Discussionmentioning

confidence: 99%

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Ectopic maxillary sinus third molar with dentigerous cyst in 11 patients: Tailored endoscopic‐assisted approaches for a successful outcome

El-Fattah

Khafagy

El-Sisi

et al. 2021

Clinical Otolaryngology

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“…Once foreign bodies have been moved into the sinus, these events should be addressed early to avoid severe complications. Evaluation of imaging exams, especially CT, is essential for a precise diagnose and choice of proper surgical approach (Sencimen et al, 2016;Bozkurt & Erdem, 2017;Asmael, 2018;Hara et al, 2018;Manor et al, 2018;Gnigou et al, 2019;Courtot et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Modified Caldwell-Luc Technique to retrieval of tooth fragment displaced into the maxillary sinus: A case report

Santos

Oliveira

Neto

et al. 2021

RSD

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During the surgical removal of maxillary molars, tooth or fragment displacement into the maxillary sinus may occur. The presence of foreign bodies inside these cavities leads to complications such as mucoceles, cellulitis, oroantral fistulae and maxillary sinusitis, to prevent the arise and worsening of complications, these events must be addressed in an early stage. This article aims to report the removal of a tooth root from the maxillary sinus, through the modified Caldwell-Luc (CLM) approach and describe the current indications for the Caldwell Luc technique. It reports an upper third molar surgery in which a patient had the distal root of the left superior third molar displaced into the maxillary sinus, later showing signs of sinus opacification and loss of patency of the maxillary ostium obstructed by the root. After antibiotic treatment, the root was recovered through the CLM technique by local anesthesia, without complications. Foreign bodies in the maxillary sinuses must be urgently addressed, avoiding the development of infectious conditions, the CLM approach is the choice approach to manage these complications by a simple and safe way.

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Surgical approach of ectopic maxillary third molar avulsion: Systematic review and meta-analysis

Cited by 9 publications

References 33 publications

Intra-sinus complex odontoma management simultaneously to oroantral communication closure: Why remove it?

Intra-sinus complex odontoma management simultaneously to oroantral communication closure: Why remove it?

Ectopic maxillary sinus third molar with dentigerous cyst in 11 patients: Tailored endoscopic‐assisted approaches for a successful outcome

Modified Caldwell-Luc Technique to retrieval of tooth fragment displaced into the maxillary sinus: A case report

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